DR. PAM L JOHNSON MD NPI 1184764235

NPI Information

NPI: 1184764235
Provider Name: DR. PAM L JOHNSON, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1905 DOVE CROSSING LN
#C
NAVASOTA, TX
ZIP 77868
Phone: (936) 825-0000
Get Directions

DR. Pam L Johnson, MD is a general practice in Navasota, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Pam L Johnson, MD NPI is 1184764235. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1905 DOVE CROSSING LN
#C
NAVASOTA, TX
ZIP 77868-272
Phone: (936) 825-0000
Fax: (936) 825-8001

The NPI 1184764235 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 8/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		M5254	TEXAS	No
2	207VG0400X	Obstetrics & Gynecology	Gynecology	M5254	TEXAS	No
3	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine	M5254	TEXAS	No
4	208D00000X	General Practice		M5254	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0009516-07	OTHER	TEXAS	TPI (MEDICAID NUMBER) GRIMES COUNTY COMMUNITY HEALTH CENTER
2	74-1715140	OTHER	TEXAS	TIN - BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC.
3	45-1981	OTHER	TEXAS	PTAN (MEDICARE NUMBER) GRIMES COUNTY COMMUNITY HEALTH CENTER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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